Claims Handler

Placements24; Bloemfontein; Hybrid; ZAR 180,000 - 240,000; Full time

Benefits offered by this job

Hybrid work model

Group life cover

Training & development

Job summary

Placements24 in Welkom is seeking a dedicated Claims Handler to join its established team. In this role, you will process and manage a portfolio of insurance claims, liaising with policyholders and ensuring timely settlements while upholding company protocols.

The successful candidate will have experience in claims handling within the insurance industry, strong policy knowledge, excellent organizational skills, and proficiency with claims management software.

Qualifications

• Previous experience in claims handling or a related role within the insurance industry is essential.
• Strong understanding of insurance policies and claims procedures.
• Excellent organizational and time management skills, with the ability to manage multiple tasks.
• Effective communication and customer service skills.
• Detail-oriented with strong analytical and problem-solving capabilities.
• Proficiency in using claims management software and general office applications.

Responsibilities

• Receive, record, and acknowledge new insurance claims in a timely manner.
• Investigate claim details, gather necessary documentation, and verify policy coverage.
• Communicate claim status updates and requirements to policyholders and relevant parties.
• Assess the quantum of loss and negotiate settlements within approved guidelines.
• Identify fraudulent claims and escalate for further investigation as per procedure.
• Maintain accurate and organized claim files and records in the system.

Skills

Claims handling

Insurance knowledge

Time management

Customer service

Tools

Claims software

Job description

About the Role

Our client is looking for a dedicated Claims Handler to join their established team in Welkom . In this role, you will be responsible for processing and managing a portfolio of insurance claims efficiently and accurately. This involves liaising with policyholders, assessing claim validity, and facilitating timely settlements while adhering to company protocols and customer service standards. You will contribute to maintaining the company's reputation for reliability and fairness in handling claims, working within a structured environment that values attention to detail and efficient claim resolution.

Key Responsibilities

• Receive, record, and acknowledge new insurance claims in a timely manner.
• Investigate claim details, gather necessary documentation, and verify policy coverage.
• Communicate claim status updates and requirements to policyholders and relevant parties.
• Assess the quantum of loss and negotiate settlements within approved guidelines.
• Identify fraudulent claims and identify them for further investigation as per procedure.
• Maintain accurate and organized claim files and records in the system.

Requirements

• Previous experience in claims handling or a related role within the insurance industry is essential.
• Strong understanding of insurance policies and claims procedures.
• Excellent organizational and time management skills, with the ability to manage multiple tasks.
• Effective communication and customer service skills.
• Detail-oriented with strong analytical and problem-solving capabilities.
• Proficiency in using claims management software and general office applications.

Benefits

• Competitive annual salary commensurate with experience.
• Opportunity to work in a stable and respected insurance company in Welkom .
• A hybrid work model providing a balance between office present and remote flexibility.
• Access to group life cover and other employee benefits.
• Continuous training and development opportunities to enhance your claims handling expertise.